Organization
SOUTHERN MEDICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BERRY (OWNER)
(601) 927-9355
Entity
Organization
Contact information
Practice address
7048 OLD CANTON RD STE 2E, RIDGELAND, MS 39157-1021
(601) 992-9790
(601) 992-9796
Mailing address
7048 OLD CANTON RD STE 2E, RIDGELAND, MS 39157-1021
(601) 992-9790
(601) 992-9796
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R733261
MS
Other
Enumeration date
02/15/2016
Last updated
04/18/2025
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